Social Relationship Qualities as Predictors of Health & Aging from Adolescence through Mid-Adulthood

社会关系质量作为健康的预测因素

基本信息

批准号：
10651933
负责人：
JOSEPH Patrick ALLEN
金额：
$ 76.23万
依托单位：
UNIVERSITY OF VIRGINIA
依托单位国家：
美国
项目类别：
财政年份：
2023
资助国家：
美国
起止时间：
2023-07-01 至 2028-06-30
项目状态：
未结题

来源：
https://reporter.nih.gov/project-details/10651933
关键词：
Acceleration Address Adolescence Adolescent Adult Affect Age Aging Biological Biological Factors Biological Markers Body Weight Characteristics Child Rearing Chronic Conflict (Psychology)Data Demographic Factors Epigenetic Process Ethnic Origin Family Family Relationship Future Health Health Promotion Health behavior Hostility Individual Interruption Intervention Interview Knowledge Life Life Cycle Stages Link Measures Mediating Mediation Mediator Mental Health Metabolic Nature Outcome Parents Pattern Physiological Preventive Process Public Health Race Risk Risk Behaviors Risk Factors Sampling Smoking Social Processes Social support Symptoms Time Weather Weight Work age effect cardiovascular disorder risk contextual factors density early childhood emerging adult experience follow-up healthy aging middle age participant observation peer physical conditioning preventive intervention routine screening screening sex social social relationships sociodemographics stressor

项目摘要

Project Summary Public health efforts in adolescence aimed at life course physical health promotion have to date focused almost exclusively on addressing physiological risk factors and health behaviors (e.g., weight, smoking, etc.). This proposal examines a far-reaching hypothesis with the potential to open up new venues for intervention: that social relationship qualities established in adolescence have an integral, long-term relationship to life course physical health and aging processes. The proposed study will clarify both the existence and the mechanisms by which two specific relationship qualities in adolescence—experience of hostile conflict and absence of supportive relationships—are linked to midlife health and aging outcomes. It uses uniquely rich longitudinal data on peer, romantic partner, and family relationship qualities across a 25-year span, to address four overarching aims: 1) direct prediction of midlife health & aging from adolescent social relationship qualities; 2) assessment of mediational vs. weathering explanations of links from adolescence to midlife health & aging outcomes; 3) examination of mediation of adolescent-midlife linkages via mental health and health behaviors; and 4) examination of biologic and contextual mediators and moderators of observed adolescent-midlife linkages. The proposed study addresses each of these Aims with a uniquely intense combination of repeated interviews, sociometric assessments, and direct observations of interactions with parents, peers, and romantic partners, with the new addition in midlife of an array of highly valid physiological indicators of health and aging—all obtained from a socio-demographically diverse final sample of 172 individuals (with 97% sample retention to date), followed across a 25-year span, from age 13 into midlife (ages 33 – 37). The proposed study has significance in allowing: a. identification of several entirely new arenas within adolescence for potential interventions to promote lifelong health and healthy aging; b. suggest specific relational characteristics to target across this period in screening and preventive interventions; c. distinguish social processes in adolescence that directly predict accelerated aging (and are thus critical to address within adolescence) from those that lead to mediated chains of risk (which would suggest multiple promising points of intervention); and d. dramatically advance overall theoretical understanding of the ways in which early relationship difficulties are linked to and potentially affect physical health and aging outcomes well into midlife.

项目概要迄今为止，旨在促进生命全程身体健康的青少年公共卫生努力几乎集中在专门解决生理风险因素和健康行为（例如体重、吸烟等）。该提案检验了一个影响深远的假设，有可能开辟新的干预场所：青春期建立的社会关系品质与生命历程有着不可分割的、长期的关系身体健康和衰老过程。拟议的研究将阐明两种特定关系的存在及其机制青春期的品质——敌对冲突的经历和缺乏支持关系——与它使用有关同龄人、浪漫伴侣和家庭的独特丰富的纵向数据。跨 25 年的关系质量，以实现四个总体目标：1）直接预测中年青少年社会关系质量的健康与衰老；2）中介与风化的评估；解释青春期与中年健康和老龄化结果之间的联系；3）检查中介作用；青少年与中年之间通过心理健康和健康行为的联系；4) 生物和健康检查观察到的青少年与中年联系的情境中介和调节因素。拟议的研究通过重复访谈的独特密集组合来解决每个目标，社会计量评估以及对与父母、同龄人和浪漫伴侣互动的直接观察，随着中年时期新增加的一系列高度有效的健康和衰老生理指标——所有从 172 名个体的社会人口统计多样化最终样本中获得（样本保留率为 97%）日期），从 13 岁到中年（33-37 岁）进行了 25 年的跟踪调查。允许以下方面的意义： a. 确定青春期内的几个全新领域的潜力促进终身健康和健康老龄化的干预措施提出具体的目标特征；在这一时期进行筛查和预防性干预；c．直接预测加速衰老（因此对于青春期内的解决至关重要）中介风险链（这将表明多个有希望的干预点）；对早期关系困难的进展方式的整体理论理解可能会影响到中年的身体健康和衰老结果。